Pneumonia Perception Project-Pakistan

NCT03756259 | Completed DMC

• 1 other identifier: AC 18109
• Study Type: interventional
• Target: 179
• Locations: 1 country
• Sites: 1

Brief Summary

Pneumonia and recurrent wheeze contribute extensively to under five childhood morbidity and mortality in Pakistan. Among the avoidable causes of death due to these diseases, delayed care seeking is a major one whereby around 38% of deaths due to acute respiratory illnesses occur in households. Of these cases which die due to delayed care seeking, majority are taken for healthcare after 2 days of initiation of symptoms with around 30% been given antibiotics at home before seeking healthcare. Around 32% of these cases die at home, 48% in hospitals, 9% en route, and the 11% in clinics or health centres.This could be due to lack of time, lack of funds for healthcare, lack of decision making on the part of the mother or improper carer perception of the seriousness of the condition. Thus there are various cultural, social, personal and religious factors which affect the care seeking behaviors of caregivers for these illnesses. Understanding these aspects of delayed care seeking is critical to develop effective intervention strategies to reduce disease related mortality. We, therefore, aim to establish an understanding of perception of under-five pneumonia and recurrent wheeze among caregivers of children under five along with associated factors of delayed care seeking in selected communities in Pakistan. The results of this study will permit us to design an effectiveness study which can be used by program managers and policy makers to develop program strategies to reduce childhood deaths due to delayed care seeking for these diseases.

Conditions

Pneumonia; Perception, Self

Outcome Measures

Primary Outcomes (3)

• Identification of perception of caregivers of children under five on pneumonia and recurrent wheeze

  The qualitative approach will provide a detailed understanding of perception of pneumonia and recurrent wheeze among caregivers of children under five

  6 months

• Improvement in perception of pneumonia and recurrent wheeze among caregivers of children under five

  Through the mobile based intervention we plan to improve caregiver perception on pneumonia and recurrent wheeze

  6 months

• Active case finding of pneumonia by lady health workers

  LHWs will identify pneumonia cases and manage or refer them as the case may be

  6 months

Study Arms (1)

Pneumonia perception arm

OTHER

Caregivers of children under five will be interviewed qualitatively to understand in depth on perception of pneumonia. These will be mothers, fathers and grandmothers of these children. Once the formative research is done, it will inform design of an intervention whereby the caregivers will be recruited to be counselled by Lady health workers on pneumonia and its prevention via an audiovisual user friendly android based mobile application. Additionally, one text and one voice message will also be sent to the caregivers cell phones on the same subject. The LHWs will also be trained on pneumonia case finding which they will manage at their end and refer if required while doing daily field visits.

Behavioral: Mobile Health (mHealth) for Pneumonia

Interventions

Mobile Health (mHealth) for Pneumonia BEHAVIORAL

Audiovisual mobile based application will be used to counsel caregivers of children under five on pneumonia and its prevention. This will be coupled with text and voice message dissemination to the cell phones of caregivers and active pneumonia case finding by the LHWs which will be managed according to severity.

Pneumonia perception arm

Eligibility Criteria

• Age: 1 Minute - 5 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Caregivers of children under five
• Those consenting to participate

You may not qualify if:

• Children with any long standing chronic illness

Sponsors & Collaborators

• University of Edinburgh: lead
• Maternal, Neonatal and Child Health Research Network: collaborator

Study Sites (1)

MNCHRN

Islamabad, Federal, 44000, Pakistan

Location

MeSH Terms

Conditions

Pneumonia

Interventions

Telemedicine

Condition Hierarchy (Ancestors)

Respiratory Tract Infections; Infections; Lung Diseases; Respiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Dr Tabish Hazir, MBBS, FRCPCH

  Maternal, Neonatal and Child Health Research Network

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 26, 2018
• First Posted: November 28, 2018
• Study Start: December 15, 2018
• Primary Completion: December 30, 2019
• Study Completion: December 31, 2019
• Last Updated: March 14, 2022

Record last verified: 2019-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)